Vaccines CPT 90636 Outpatient

Hepatitis A and B vaccine (Twinrix) cost in New York, NY

In New York-Newark-Jersey City, NY-NJ, 38 hospitals list a cash price for hepatitis A and B combination vaccine, adult (Twinrix): from $45.23 to $679.00, with a median of $218.04. The lowest listed price is at Clara Maass Medical Center — $172.81 less than the median here. Across New York, the median is $227.07 at 44 hospitals.

  • The median here, $218.04, is 26% above the US median of $172.95.
  • 14 of 38 hospitals list a cash price equal to their full list price, with no self-pay discount.

Cash prices at 38 facilities across 30 cities for code 90636, as an outpatient — the setting a self-pay patient normally buys. Collected Nov 8, 2026; the hospital files themselves were last updated between Apr 22, 2025 and Jul 27, 2026.

Lowest$45.23Clara Maass Medical Center
Median$218.04half of hospitals charge less
Highest$679.00in this market
Difference15.0×highest vs lowest

Where each hospital's price falls

Each dot is one hospital's cash price on a scale from the lowest to the highest in New York-Newark-Jersey City, NY-NJ.

median
Lowest $45.23Highest $679.00

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Clara Maass Medical Center lowest Belleville, NJ · (973) 450-2000 HC Hepatitis a&B Adult Vacc Im File of Mar 4, 2026 · source file $45.23 $227.45 $29.52–$217.12 80%
Community Medical Center Toms River, NJ · (732) 557-8000 HC Hepatitis a&B Adult Vacc Im File of Mar 4, 2026 · source file $47.17 $227.45 $28.74–$208.09 79%
Jersey City Medical Center Jersey City, NJ · (201) 915-2000 HC Hepatitis a&B Adult Vacc Im File of Mar 4, 2026 · source file $47.26 $227.45 $63.93–$206.45 79%
Newark Beth Israel Medical Center Newark, NJ · (973) 926-7000 HC Hepatitis a&B Adult Vacc Im File of Mar 4, 2026 · source file $47.37 $227.45 $59.04–$212.27 79%
Cooperman Barnabas Medical Center Livingston, NJ · (973) 322-5000 HC Hepatitis a&B Adult Vacc Im File of Mar 4, 2026 · source file $48.19 $227.45 $36.71–$193.33 79%
Monmouth Medical Center Long Branch, NJ · (732) 222-5200 HC Hepatitis a&B Adult Vacc Im File of Mar 4, 2026 · source file $49.76 $227.45 $57.61–$219.96 78%
Monmouth Medical Center Southern Campus Lakewood, NJ · (732) 363-1900 HC Hepatitis a&B Adult Vacc Im File of Mar 3, 2026 · source file $54.06 $227.45 $42.85–$220.87 76%
The Valley Hospital Paramus, NJ · (201) 447-8000 HEPATITIS A & B File of May 6, 2026 · source file $66.00 $110.00 $24.62–$150.69 40%
Nassau University Medical Center East Meadow, NY · (516) 572-0123 Im Adult Hepa-Hepb File of Oct 28, 2025 · source file $69.89 $99.84 $24.96–$99.84 30%
Newton Medical Center Newton, NJ · (973) 383-2121 Hepatitis a & B Vaccine Hepa-Hepb Adult Im File of Apr 1, 2026 · source file $91.43 $460.00 — 80%
CentraState Medical Center Freehold Township, NJ · (732) 294-7012 Hepatitis a & B Vaccine Hepa-Hepb Adult Im File of Apr 1, 2026 · source file $94.97 $460.00 — 79%
Chilton Medical Center Pompton Plains, NJ · (973) 831-5000 Hepatitis a & B Vaccine Hepa-Hepb Adult Im File of Apr 1, 2026 · source file $107.65 $460.00 — 77%
Overlook Medical Center Summit, NJ · (908) 522-2000 Hepatitis a & B Vaccine Hepa-Hepb Adult Im File of Apr 1, 2026 · source file $109.75 $460.00 — 76%
Morristown Medical Center Morristown, NJ · (973) 971-5450 Hepatitis a & B Vaccine Hepa-Hepb Adult Im File of Apr 1, 2026 · source file $110.12 $460.00 — 76%
Trinitas Regional Medical Center Elizabeth, NJ · (908) 994-5000 HC Hepatitis a&B Adult Vacc Im File of Mar 4, 2026 · source file $111.00 $591.37 $125.45–$783.67 81%
St Johns Episcopal Hospital Far Rockaway, NY · (718) 869-7000 Twinrix File of Apr 7, 2026 · source file $111.29 $130.93 $136.02 15%
Stony Brook University Hospital Stony Brook, NY · (631) 444-4000 Twinrix PFS File of Jun 10, 2026 · source file $139.85 $139.85 $4,255.00 —
Morristown Medical Center Morristown, NJ · (973) 971-5450 HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE File of Apr 1, 2026 · source file $141.00 $141.00 — —
Maimonides Medical Center Brooklyn, NY · (718) 283-6000 HEP-A /HEP-B VACC(TWINRIX) IM File of Apr 1, 2026 · source file $152.00 $152.00 — —
Maimonides Medical Center Brooklyn, NY · (718) 283-6000 HepA-HepB vacc, adult,IM File of Apr 1, 2026 · source file $197.00 $197.00 — —
Mount Sinai Brooklyn Brooklyn, NY · (212) 420-2000 HC Hep a/Hep B Vacc Adult Im File of Apr 1, 2026 · source file $209.01 $232.23 — 10%
Maimonides Medical Center Brooklyn, NY · (718) 283-6000 HEP A/HEP B ADULT File of Apr 1, 2026 · source file $210.00 $210.00 — —
NYU Langone – Orthopedic Hospital New York, NY HEP A/HEP B VACC ADULT IM File of Jan 1, 2026 · source file $227.07 $1,195.12 $11.95–$1,195.12 81%
NYU Langone Hospital - Suffolk Patchogue, NY · (631) 654-7100 HEP A/HEP B VACC ADULT IM File of Jan 1, 2026 · source file $227.07 $1,195.12 $11.95–$1,195.12 81%
NYU Langone Mineola, NY HEP A/HEP B VACC ADULT IM File of Jan 1, 2026 · source file $227.07 $1,195.12 $11.95–$1,195.12 81%
NYU Langone Brooklyn, NY HEP A/HEP B VACC ADULT IM File of Jan 1, 2026 · source file $227.07 $1,195.12 $11.95–$1,195.12 81%
NYU Langone – Tisch Hospital New York, NY · (212) 263-7300 HEP A/HEP B VACC ADULT IM File of Jan 1, 2026 · source file $227.07 $1,195.12 $11.95–$1,195.12 81%
Overlook Medical Center Summit, NJ · (908) 522-2000 HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE File of Apr 1, 2026 · source file $235.00 $235.00 — —
Memorial Hospital for Cancer and Allied Diseases West Harrison, NY HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE File of Dec 1, 2025 · source file $240.31 $240.31 $80.76–$310.90 —
Memorial Hospital for Cancer and Allied Diseases Middletown, NJ HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE File of Dec 1, 2025 · source file $240.31 $240.31 $89.00–$310.90 —
Memorial Hospital for Cancer and Allied Diseases New York, NY HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE File of Dec 1, 2025 · source file $240.31 $240.31 $80.76–$310.90 —
Memorial Hospital for Cancer and Allied Diseases Basking Ridge, NJ HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE File of Dec 1, 2025 · source file $240.31 $240.31 $89.00–$310.90 —
Bronx-Lebanon Hospital Center - Concourse Division Bronx, NY · (212) 588-7000 HEP A&B ADULT-IM CLINIC File of Apr 17, 2026 · source file $287.43 $287.43 $71.90–$258.69 —
BronxCare Hospital Center - Fulton Campus Bronx, NY · (212) 588-7000 HEP A&B ADULT-IM CLINIC File of May 5, 2026 · source file $287.43 $287.43 $71.90–$258.69 —
Mount Sinai Morningside New York, NY hepatitis A & B vaccine (PF) 720 ELISA unit- 20 mcg/mL syringe 1 mL Syringe File of Apr 1, 2026 · source file $336.90 $374.33 — 10%
Saint Peters University Hospital New Brunswick, NJ · (732) 745-8600 58160-0815-11 HEP A/HEP B VACC ADULT IM File of Nov 19, 2025 · source file $389.00 $440.00 $48.00–$440.00 12%
Jamaica Hospital Medical Center Jamaica, NY · (718) 262-6000 HEP A/HEP B VACC ADULT IM+1 more line at this price File of Mar 25, 2026 · source file $438.00 $438.00 $125.95–$1,912.00 —
Flushing Hospital Medical Center Flushing, NY · (718) 670-5000 HEP A/HEP B VACC ADULT IM File of Mar 25, 2026 · source file $438.00 $438.00 $130.84–$1,912.00 —
The Valley Hospital Paramus, NJ · (201) 447-8000 VAC - HEPATITIS A & B File of May 6, 2026 · source file $477.33 $795.55 $150.69–$596.66 40%
Brooklyn Hospital Center at Downtown Campus Brooklyn, NY · (718) 250-8000 Twinrix PFS File of Jul 27, 2026 · source file $487.77 $487.77 — —
Stony Brook Southampton Hospital Southampton, NY Twinrix PFS+1 more line at this price File of Jun 17, 2026 · source file $487.94 $487.94 — —
Flushing Hospital Medical Center Flushing, NY · (718) 670-5000 Twinrix File of Mar 25, 2026 · source file $509.75 $509.75 $130.84–$1,912.00 —
Hackensack Meridian Mountainside Medical Center Montclair, NJ · (973) 429-6000 HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE File of Feb 12, 2026 · source file $544.44 $544.44 $57.17–$544.44 —
Brooklyn Hospital Center at Downtown Campus Brooklyn, NY · (718) 250-8000 HEP A/HEP B VACC ADULT IM File of Jul 27, 2026 · source file $558.44 $558.44 — —
University Hospital of Brooklyn Brooklyn, NY · (718) 270-1000 90636 - HEP A/HEP B VACC ADULT IM File of Apr 22, 2025 · source file $679.00 $679.00 $80.00–$843.00 —
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

Outpatient: lowest $45.23, median $218.04, highest $679.00 — a 15.0× difference within the same market.

As an inpatient, the same code is billed by 16 facilities here, median $227.07. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

Cash or insurance?

At 25 of 28 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 6 it is below every plan's rate. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.

What hepatitis A and B vaccine (Twinrix) is, what the price covers and why prices differ: Hepatitis A and B vaccine (Twinrix) explained.

5 rows held back from this comparison

They are priced below $1 or below a tenth of the national median for code 90636 ($185.50). Such a line is almost always a physician's fee billed separately, an assistant's share or a placeholder — a real charge, but not the price of the procedure itself.

HospitalCash priceFile
Brookdale Hospital Medical Center Brooklyn, NYHC HEPATITIS A & B VACCINE 1ML SY $0.01 file
Interfaith Medical Center Brooklyn, NYHC HEPATITIS A & B VACCINE 1ML SY $0.01 file
Interfaith Medical Center Brooklyn, NYhepatitis A-Hep B recombinant 720-20 ELU-mcg/mL Susy 1 mL Syringe $0.01 file
Kingsbrook Jewish Medical Center Brooklyn, NYHC HEPATITIS A & B VACCINE 1ML SY $0.01 file
Kingsbrook Jewish Medical Center Brooklyn, NYhepatitis A-Hep B recombinant 720-20 ELU-mcg/mL Susy 1 mL Syringe $0.01 file
File Link to the hospital's own price file.